Brief Answer: Life style changes AND drugs are necessary Detailed Answer: Hi friend, Welcome to Health Care Magic There are subdivisions of cholesterol – LDL, HDL, non-HDL and so on. LDL (& non-HDL) is bad cholesterol – lower, the better. HDL is good cholesterol – higher, the better. In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of ischemia, 70 should be the aim. Keep her WEIGHT to normal / even a little less Quit smoking, if she is a smoker She should do regular aerobic EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. Repeat the test in 6 weeks. Generally, cholesterol can still be high, in spite of diet and exercise – you need drugs; Because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. In view of her age and the high level of LDL, you can start it straight away – See her Internist / get appropriate prescription / go for regular follow up Good luck Take care Wishing all well God bless

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